Contraceptive Access Laws
Private plans are required to cover an extended supply of contraception.
Nevada requires most private plans to cover a 12-month supply of contraception at one time. An initial prescription of three months is required before a patient can access an extended supply.
- To prescribe an extended supply of birth control, write the prescription with the appropriate total quantity (e.g., three packs for three months) and indicate the correct number of refills to cover a full year (typically 11 refills). For a full 12-month supply at once, write for a quantity of 13 packs with zero refills.
- Because not all pharmacists are aware of this policy, let patients know that they can ask to try running it through their insurance, even if the pharmacist initially says it won’t be covered.
Medicaid is required to cover an extended supply of contraception.
Nevada requires Medicaid to cover a 12-month supply of contraception at one time. An initial prescription of 3 months is required before a patient can access an extended supply.
- To prescribe an extended supply of birth control, write the prescription with the appropriate total quantity (e.g., three packs for three months) and indicate the correct number of refills to cover a full year (typically 11 refills). For a full 12-month supply at once, write for a quantity of 13 packs with zero refills.
- Because not all pharmacists are aware of this policy, let patients know that they can ask to try running it through their insurance, even if the pharmacist initially says it won’t be covered.
Private plans are not required to offer additional coverage beyond the federal ACA contraceptive coverage requirement.
Under the federal Affordable Care Act (ACA) contraceptive coverage mandate, most private plans are required to cover at least one contraceptive in each of the FDA-approved contraceptive method categories for women, as prescribed, without copays or deductibles.
Nevada has the same requirement, but it does not offer additional contraceptive coverage protections (such as requiring all contraceptives to be covered except therapeutic equivalents).
- Most patients should not be charged copays or deductibles for the full range of FDA-approved contraceptive methods. If your patient is having an issue with their coverage, you can direct them to the National Women’s Law Center CoverHer resource so they can find out if their insurance company is incorrectly charging them and how to get these services covered.
- For more information on the states that have enacted state laws that require private health insurers to cover the full range of contraceptive methods, without additional cost-sharing, or go beyond the federal ACA requirement, visit Power to Decide’s map.
- The Health Resources and Services Administration (HRSA) maintains a comprehensive list of sexual and reproductive health services and contraceptive methods that insurance plans are required to cover without copays or deductibles.
Private plans are not required to cover over-the-counter (OTC) contraception without a prescription.
- Write prescriptions for OTC contraceptive methods so that patients can utilize health insurance benefits whenever possible.
- For more information on the states that require private plans to cover some OTC methods, visit Power to Decide’s map.
Medicaid is not required to cover over-the-counter (OTC) contraception without a prescription.
- Write prescriptions for OTC contraceptive methods so that patients can utilize Medicaid benefits whenever possible.
- For more information on the states where Medicaid is required to cover some OTC contraceptive methods, see KFF’s State Tracker.
Pharmacists can prescribe contraception.
Nevada allows pharmacists to prescribe or furnish contraception—specifically, the pill, patch, and ring.
- Patients can obtain a prescription for contraception directly from a pharmacist, without a separate clinic visit. It is important to note, however, that not all pharmacies offer this service.
- To see a map of pharmacies where this service may be available, visit Birth Control Pharmacist.
Abortion Access Laws
Abortion is permitted.
Abortion is permitted in Nevada until 25 weeks, 6 days.
- For a list of abortion providers in Nevada, visit AbortionFinder.org.
A waiting period is not required for abortion.
Parental notification is required for abortion.
Nevada requires a parent or guardian to be notified before a pregnant person under the age of 18 can get an abortion.
- Minors have to provide notice to a parent or guardian about seeking abortion services, but the parent/guardian does not have the legal power to prevent them from accessing services.
- Judicial bypass may be an option if a minor cannot notify or get permission from a parent or legal guardian. Let patients know that help is available via the If/When/How Repro Legal Helpline.
Telehealth is permitted for medication abortion.
Nevada permits all virtual telehealth for the provision of medication abortion.
Medicaid is required to cover abortion beyond federal requirements.
Nevada Medicaid covers abortion beyond the federal Hyde requirement of cases involving life endangerment, rape, and incest.
- Medicaid can help pay for abortion services. Patients do not need to meet the federal requirements.
- The National Network of Abortion Funds has more information to help patients who are interested in applying for Medicaid.
Shield Laws
Some health care provision is protected by shield laws.
Nevada has some legal safeguards for reproductive and gender-affirming health care.
- For details, visit UCLA’s State Shield Law Tracker.
Shield law protections do not apply to patients outside of the state.
Nevada does not offer protections to providers who may be using telehealth and conducting visits with patients in other states.
- There are no protections from out-of-state investigations or legal action (such as extradition and arrests or the issuance of subpoenas, search warrants, and witness summons) for providers using telehealth and conducting visits with patients in hostile states.
Shield laws protect from out-of-state investigations and prosecutions.
Nevada offers protection to providers who are practicing and seeing patients within their home state.
- For example, shield laws would offer protection for an abortion provider who is providing care in Nevada to someone who traveled from another state.
- This may include protections from extradition and arrests; from the issuance of subpoenas, search warrants, and witness summons; and barring state agencies and employees from expending resources for such an investigation.
- For details, visit UCLA’s State Shield Law Tracker.
Shield laws protect from professional discipline.
- Health care providers may be protected from losing their license or facing board discipline as a result of performing, recommending, or providing legally protected care—even if they had been penalized for it in another state.
- For details, visit UCLA’s State Shield Law Tracker.
Shield laws do not protect against civil liability.
- Shield laws do not include protections against civil lawsuits or judgements related to providing, seeking, or supporting reproductive health or gender affirming care.
Shield laws do not include protections related to professional liability insurance and health plans.
- Shield laws do not prevent malpractice and liability insurers from dropping a health care provider, raising rates, or denying coverage because they provide abortion, contraception, or gender-affirming care.
Shield laws include protections against disclosure of medical information for lawfully protected health care.
- Providers may be prohibited from releasing medical information about abortion or gender-affirming care in response to subpoenas or investigations from other states that are trying to punish patients or providers.
- For details, visit UCLA’s State Shield Law Tracker.